High fever with severe chills patient is unable to even walk few steps. treatment continues since 20th of feb 2025 . after TEST report indicates that patient is suffering from both malaria and typhoid.

Hello 👋

Thank you for your concern. Eye blinking or jerking during sleep in a 2-year-old can be due to several reasons, and while some are harmless, others may need closer attention. Here are a few possibilities:

• In infants and toddlers, brief muscle jerks (including around the eyes) can occur during sleep and are usually harmless.
• Sometimes, repetitive blinking can be part of a transient tic, which typically resolves on its own.
• If the eye jerking appears rhythmic and repetitive and is associated with other unusual body movements, it could suggest seizure-like activity and needs urgent evaluation.
• If the eyes are dry, irritated, or strained, children may blink more—even during sleep transitions.

What can you observe and share with your paediatrician?

• Does this happen only during sleep or when awake as well?
• Is the child otherwise behaving normally—alertness, feeding, development?
• Any history of fever, head injury, or recent illness?

📌 Recommendation: While this could be benign, it's best to consult a pediatric ophthalmologist or your child's paediatrician for an in-person evaluation.

Namaste Neeraj ji,

Lungs mein paani (pleural effusion) aur Tuberculosis (T.B.) ka treatment expert Pulmonologist (Chest Specialist) ke under hona chahiye.

🩺 Ayushman Bharat ke under aapke area ke paas kaunse hospital empanelled hain, yeh jaanne ke liye yeh link visit karein:
🔗 https://hospitals.pmjay.gov.in

📌 Zaroori Salah aur Savdhaaniyaan:

1. Pura Ilaj Poora Karna: TB ka treatment lamba hota hai (6-9 mahine), lekin dava ek din bhi miss na karein. Beech mein rokne se TB wapas aa sakta hai aur zyada khatarnak ho sakta hai.
2. Alag Kamra (Isolation): Jab tak infection active hai, Dada ji ko ek alag kamre mein rakhein, khaaskar agar ghar mein chhote bachche ya buzurg hain.
3. Mask ka Istemaal: Dada ji aur parivaar ke log mask pehnein, khaaskar jab unke paas ho.
4. Achhi Khuraak: TB se ladne ke liye protein-rich aur nutritious diet dena zaroori hai – doodh, daal, anda, sabziyaan aur seasonal fruits included honi chahiyein.
5. Rest aur Fresh Air: Dada ji ko poora aaram milein, lekin clean aur fresh hawa wali jagah mein rakhein. Damp ya gandi hawa se bachayein.
6. Doctor ki Regular Jaach: Pulmonologist ki regular follow-ups lena na bhoolen – TB aur pleural effusion dono mein monitoring zaroori hoti hai.
7. Khaansi ya Bukhar Mein Savdhaani: Agar khaansi, bukhar ya saans lene mein dikkat badhe, to turant doctor se sampark karein.

Hi Sakshi,

Thank you for your question!

To answer your query — dehydration and urinary tract infection (UTI) can indeed affect the colour and composition of urine, but the presence of bile salts in urine is usually not directly caused by these two conditions.

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🧪 Let’s break it down:

✅Dehydration

• It can make urine appear dark yellow or amber due to concentrated waste products.

• Once you hydrate properly, the colour usually returns to normal — which seems to be the case with you.

✅ UTI

• It may cause cloudy, foul-smelling, or dark-coloured urine due to inflammation or the presence of pus/blood, but not bile salts specifically.

⚠️ Bile salts in urine

• This could indicate a liver or biliary system issue (like hepatitis, gallstones, or bile duct obstruction), where bile leaks into the bloodstream and is filtered by the kidneys into urine.

• If your urine color normalized within 2 days, it may not have been bile salts but something more transient, like concentrated urine or pigment from food or medication.

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📍 What you can do:

• If you’re feeling fine now and have no other symptoms (like yellowing of the eyes or skin, pain in the upper right abdomen, or persistent dark urine), it’s likely nothing serious.

• But if this recurs or you had lab reports indicating bile salts, it’s best to get:
  • Liver function test (LFT)
  • Urinalysis
  • Possibly an ultrasound of the abdomen

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💬 Feel free to share any lab reports or more symptoms if you have them. We can help guide you better.

Take care and stay hydrated! 💧